| NPI | 1891303780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011714) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT29469) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |